Individual provider Active NPI

Clarivi Noblejas

  • Geriatric Physical Therapist
  • Sanford, FL
National Provider Identifier
1235802059
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT9967 Issued in FL
Practice address
5133 Majestic Woods PL
Sanford, FL 32771-5401
Phone
(407) 782-3549
NPI assigned
Jul 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT9967 FL Primary

Addresses

Primary practice location

5133 Majestic Woods PL
Sanford, FL 32771-5401

Mailing address

5133 Majestic Woods PL
Sanford, FL 32771-5401
Phone (407) 782-3549

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL cneac1991@gmail.com Direct
CONNECT URL cneac1991@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210811004029 FL Practitioner - Physical Therapist in Private Practice 6204230303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

160 Islander CT
Longwood, FL 32750-4925
Phone (407) 767-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Jul 2, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC CurrentSince Jul 2, 2021 Accepting new patients

Locations

160 Islander Ct
Longwood, FL 32750
Phone (407) 260-1108

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1235802059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 MAJESTIC WOODS PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715401",
            "telephone_number": "407-782-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 MAJESTIC WOODS PL",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715401",
            "telephone_number": "407-782-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLEJAS",
        "first_name": "CLARIVI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT9967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cneac1991@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5133 Majestic Woods Pl",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327715401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cneac1991@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5133 Majestic Woods Pl",
            "city": "Sanford",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327715401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.